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Ampliación del hemangioma cardíaco epicárdico: imágenes de multimodalidad en serie y correlación patológica
Neel Vora1, Patrick Collier2, Carmela Tan3
1Department of Cardiovascular Radiology, Cleveland Clinic, Cleveland, Ohio.
Radiology. Cardiothoracic imaging
|August 21, 2025
Resumen
El hemangioma cardíaco, un raro tumor benigno del corazón, puede crecer con el tiempo y causar síntomas. Este caso destaca la vigilancia por imágenes a largo plazo y la eventual resección quirúrgica para un hemangioma cardíaco en crecimiento.
Área de la Ciencia:
- Imágenes cardiovasculares
- Patología cardíaca
- Oncología quirúrgica
Sus antecedentes:
- El hemangioma cardíaco es un tumor cardíaco raro y benigno que a menudo se encuentra incidentalmente.
- Los síntomas pueden incluir disnea, angina o arritmias, lo que requiere un diagnóstico por imágenes.
- La imagen multimodalidad es crucial para la delineación del tumor y las decisiones de manejo.
Objetivo del estudio:
- Para presentar un caso de hemangioma cardíaco manejado conservadoramente con imágenes en serie.
- Para ilustrar la progresión del hemangioma cardíaco en 15 años.
- Para discutir el tratamiento quirúrgico eventual de un hemangioma cardíaco sintomático.
Principales métodos:
- Se utilizaron imágenes en serie que incluían ecocardiografía, TC y resonancia magnética.
- Inicialmente se empleó una gestión conservadora con un seguimiento estricto.
- Se realizó una resección quirúrgica debido al crecimiento del tumor y los síntomas asociados.
Principales resultados:
- El hemangioma cardíaco demostró un aumento significativo de tamaño durante un período de 15 años.
- El paciente desarrolló síntomas que incluyen disnea y angina.
- Se logró una resección quirúrgica exitosa del hemangioma cardíaco.
Conclusiones:
- La vigilancia por imágenes a largo plazo es valiosa para controlar el crecimiento del hemangioma cardíaco.
- La intervención quirúrgica puede ser necesaria para los hemangiomas cardíacos sintomáticos o de crecimiento significativo.
- El hemangioma cardíaco, aunque benigno, requiere un manejo cuidadoso y un seguimiento.
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